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Biomedical subjects

J V Larsen

Publications and source records attributed to J V Larsen.

At least 19 recordsLinked to original sources
PubMed1996

The use of the Rectus abdominis muscle to suspend the bladder in the treatment of uretero-vaginal fistulae.

This study evaluates a new and simpler technique for suspending the bladder during uretero-neocystostomy, using the posterior surface of the Rectus abdominis muscle rather than an vesico-psoas hitch. The technique was employed in six consecutive patients who presented with ureteric injuries following hysterectomy or caesarean section. Each patient was fully evaluated preoperatively, and the results of surgery evaluated after three months in five out of six women. All the patients were Zulu women who had sustained injuries to the lower five centimetres of a ureter at hysterectomy or caesarean section. This study was conducted in the obstetric and gynaecological unit of Eshowe Hospital, a 460 bed sub-regional hospital in northern KwaZulu Natal. The technique described in this paper proved to be easy to perform. Every patient was continent following surgery. All those who returned for follow up had normal drainage of the affected ureter. We conclude that this is a useful alternative to vesico-psoas hitch for suspending the bladder during uretero-neocystostomy.

Abdominal Muscles↗
PubMed1995

Asherman syndrome caused by schistosomiasis.

BACKGROUND: Rare causes of Asherman syndrome include infections of the endometrium, such as tuberculosis and schistosomiasis. CASE: A 27-year-old Zulu woman, para 1, presented with secondary amenorrhea after an uncomplicated cesarean delivery. Hormone levels were in the normal ranges. Laparoscopy revealed some pelvic adhesions with patent fallopian tubes, and biopsy of the ovary showed schistosomiasis. Diagnostic D&C revealed a uterine cavity partially obliterated by adhesions. The patient was treated with praziquantel. CONCLUSION: Schistosomiasis should be considered as a possible cause of infertility and Asherman syndrome in those parts of the world where it is endemic.

Adult↗
PubMed1995

Laparoscopic and cystopic findings in patients with chronic pelvic pain in Eshowe, South Africa.

Forty two Zulu women who reported pelvic pain of more than six months duration were evaluated using laparoscopy and cystoscopy. Chronic pelvic inflammatory disease (57 pc) and pelvic adhesions (12 pc) involving the reproductive organs were the most common pathologies found. An interesting associated finding was a very high incidence (21.5 pc) of schistosomiasis. We are not able to find any pelvic pathology in only 14.4 pc of patients. This study confirms the opinion that chronic pelvic pain is usually associated with organic pathology.

Adult↗
PubMed1995

Secondary post partum haemorrhage due to uterine wound dehiscence.

BACKGROUND: Secondary post partum haemorrhage due to uterine scar dehiscence is a potentially life threatening complication of caesarean section. It is of special importance in any population with a high caesarean section rate. CASES: Two illustrative cases are described. Both presented with life threatening haemorrhage about four weeks after delivery by lower segment caesarean section. One was successfully managed with uterine wound debridement and resuture. The other required total abdominal hysterectomy. CONCLUSIONS: This cause of post partum haemorrhage must be considered in any patient who presents with heavy bleeding in the puerperium following caesarean section. These patients should always be admitted to hospital, and the uterine wound should be palpated after dilation of the cervix at examination under anaesthesia. Laparotomy and repair or hysterectomy is essential if a defect can be felt in the wound. The choice of procedure is discussed in the text.

Adult↗